Kimberly Michelle Locklear, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5016320 Issued in NC

Practice address

302 Mount Tabor Rd
Red Springs, NC 28377-6415

Phone

(910) 227-2850

Fax

(910) 227-2847

NPI assigned

Jul 24, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Purcell Clinic, PA

  • Specialist
  • Laurinburg, NC
  • NPI 1912995630
  NPD (past)
• The Purcell Clinic, PA

  • Pediatrics Physician
  • Laurinburg, NC
  • NPI 1528994654
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1518692425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PLAZA CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727386",
            "telephone_number": "910-521-2900",
            "fax_number": "910-775-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MOUNT TABOR RD",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283776415",
            "telephone_number": "910-227-2850",
            "fax_number": "910-227-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5016320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Solutions Attending
• Amber Locklear
• Bethany Locklear
• Cheryl R Locklear, DDS
• Kenneth Edward Locklear, M.D.
• Shakelah Beth Locklear
• Loving Tree Center, LLC
• Jada Brooke Lowry, PHYSICIAN ASSISTANT
• Georgianna Mack, MSW, LCSW
• Majestic Home Care

• Family Nurse Practitioner in Red Springs, NC
• Providers in Red Springs, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.